Individual provider · Type 1 NPI

Alexander Phan

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1750213633 Active

Practice location

1500 San Pablo St
Los Angeles, CA 90033-5313

Mailing address

5532 Castana Ave
Lakewood, CA 90712-1625

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750213633

Alexander Phan's National Provider Identifier is 1750213633, issued on Jun 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 2, 2026.